MEDICARE: KRISTIN M PITMAN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37PC00432700	NJ

General Provider Information

NPI Number	:	1861699431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN M PITMAN LPC

Provider Business Mailing Address
First Line	:	20 MORGAN PL
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-6312
Country	:	US
Telephone Number	:	201-998-9229
Fax Number	:	201-998-9229

Provider Business Practice Location Address
First Line	:	20 MORGAN PL
Second Line	:
City	:	NORTH ARLINGTON
State	:	NJ
Zip	:	07031-6312
Country	:	US
Telephone Number	:	201-998-9229
Fax Number	:	201-998-9229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	11/10/2024

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